Healthcare Provider Details

I. General information

NPI: 1508476201
Provider Name (Legal Business Name): PROJECT OPEN HAND
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/06/2020
Last Update Date: 08/06/2020
Certification Date: 08/06/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

730 POLK ST
SAN FRANCISCO CA
94109-7813
US

IV. Provider business mailing address

730 POLK ST
SAN FRANCISCO CA
94109-7813
US

V. Phone/Fax

Practice location:
  • Phone: 415-447-2321
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174200000X
TaxonomyMeals Provider
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332U00000X
TaxonomyHome Delivered Meals
License Number
License Number State

VIII. Authorized Official

Name: PAUL HEPFER
Title or Position: CEO
Credential:
Phone: 415-447-2321